Section He-C 4002.29 - Diapering and Toilet Learning(a) Programs serving diapered children and children who are not toilet trained shall have a designated diaper changing area, which shall: (1) Be located adjacent to or in close proximity to a designated hand washing sink to allow access for hand washing without having to open doors or gates or have physical contact with other children;(2) Have a non-porous, washable surface, which shall be used exclusively for diaper changing and sanitized after each diaper change;(3) Contain a covered, hand-free receptacle, lined with a plastic bag, and located within reach of the diaper changing area for disposal of soiled disposable diapers and cleansing articles; and(4) Not be located in kitchens or in food preparation or food service areas, or on surfaces where food is prepared or served.(b) In addition to the requirements in (a) above, in center-based programs the diaper changing area shall be:(1) Located in the room where the children in diapers are cared for; and(2) Equipped with a sink adjacent to or in close proximity to the diaper changing area designated exclusively for adult and child hand washing before or after diaper changing or toileting.(c) Programs shall not use a sink for hand washing after diapering or toileting if food preparation or washing dishes or eating utensils occurs in the sink.(d) At least every 2 hours, child care staff shall check children in diapers and change diapers and clothing if they are soiled or wet.(e) During each diaper change, soiled areas of children shall be washed with disposable, single use cleansing articles such as baby wipes or soft paper towels that have been moistened with water.(f) If an elevated diaper changing surface is used child care staff shall remain at the elevated diaper changing surface and keep one hand on the child at all times while a child is on it.(g) For each child there shall be a supply of clean diapers, clothing, and bedding for use as needed.(h) When non-disposable diapers are used: (1) The diaper shall have an absorbent inner lining completely contained within an outer covering made of waterproof material that prevents the escape of feces and urine;(2) The diaper shall contain a waterproof cover that is adherent to the cloth material; or(3) The outer covering and inner lining shall be changed at the same time as a unit when a diaper with a separate lining is used.(i) Soiled disposable diapers and cleansing articles shall immediately be placed in a plastic bag lined, hands-free receptacle.(j) The plastic bag containing the soiled diapers and cleansing articles shall be removed daily, securely closed, and placed outside in covered garbage cans for collection or removal at regular intervals.(k) Covered hands-free receptacles used to dispose of diapers and cleansing articles shall be cleaned and sanitized at least once each day.(l) Soiled non-disposable diapers shall: (1) Be immediately placed in an individual sealed plastic bag which shall be inaccessible to children and not in contact with other's belongings; and(2) Be returned to the parent at the end of each day.(m) Programs using a commercial diaper service shall handle soiled diapers in accordance with written instructions from the service.(n) A copy of the written instructions required in (m) above shall be available for review by the department upon request.(o) Toilet learning shall be individualized, developmentally appropriate, conducted in accordance with a plan developed by each child's parents and child care staff, and never forced.N.H. Admin. Code § He-C 4002.29
#4871, eff 7-24-90; ss by #5203, eff 8-16-91; ss by #6558, INTERIM, eff 8-16-97, EXPIRED: 12-14-97
New. #6719, eff 3-25-98; ss by #7294, eff 5-26-00; ss by #9160, INTERIM, eff 5-26-08, EXPIRES: 11-22-08; ss by #9310, eff 11-23-08 (from He-C 4002.31 )
Amended by Volume XXXVI Number 49, Filed December 8, 2016, Proposed by #12046, Effective 11/19/2016, Expires 5/18/2017.Ss by #12174, EMERGENCY RULE, eff 5-17-17, EXPIRES: 11-13-17;Amended by Volume XXXVII Number 50, Filed December 14, 2017, Proposed by #12415, Effective 11/6/2017, Expires 11/6/2027.Amended by Volume XLII Number 19, Filed May 12, 2022, Proposed by #13373, Effective 4/22/2022, Expires 4/22/2032 (formerly He-C 4002.28)